NPIMap

Organization Active NPI

Houston Lung Clinic LLC

  • Internal Medicine Physician
  • Warner Robins, GA
National Provider Identifier
1063803138
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052467 Issued in GA
Legal business name
HOUSTON LUNG CLINIC LLC
Practice address
92 Tommy Stalnaker Dr
Warner Robins, GA 31088-9179
Phone
(478) 333-2522
Fax
(478) 333-3160
NPI assigned
Feb 11, 2015
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rodrigo E Morales, MDNPI 1780609867
Title
Owner/Physician
Phone
(478) 333-2522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052467 GA Primary
Pulmonary Disease Physician 207RP1001X 052467 GA
Sleep Medicine (Internal Medicine) Physician 207RS0012X 052467 GA

Addresses

Primary practice location

92 Tommy Stalnaker Dr
Warner Robins, GA 31088-9179

Mailing address

92 Tommy Stalnaker Dr
Warner Robins, GA 31088-9179
Phone (478) 333-2522

Other identifiers 1

IdentifierTypeStateIssuer
915967282CMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1063803138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 TOMMY STALNAKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889179",
            "telephone_number": "478-333-2522",
            "fax_number": "478-333-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 TOMMY STALNAKER DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889179",
            "telephone_number": "478-333-2522",
            "fax_number": "478-333-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSTON LUNG CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "478-333-2522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052467",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "052467",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "GA",
            "license": "052467",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "915967282C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.